Top Banner
Copyright © 2012 Idondivi, Inc. All rights reserved. Categories ; Posterior, Grafting, Nobel Biocare
25

Two on one

Mar 22, 2016

Download

Documents

Idondivi

35 year old male, missing two teeth, but there is only space for one implant. Implant placed at # 12 site, so pontic # 11. Pontic to natural tooth can give a 6-7 mm papilla, while implant to natural tooth will give 5 mm papilla. Implant was set in such a way to not engage the sinus. Grafting to build out the site, not for additional bone to cover then implant.
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Two on one

Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Grafting, Nobel Biocare

Page 2: Two on one

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Two teeth, only space for one implant, so cantilever cuspid

Page 3: Two on one

3 Copyright © 2012 Idondivi, Inc. All rights reserved

Two teeth, only space for one implant, so cantilever cuspid

Page 4: Two on one

4 Copyright © 2012 Idondivi, Inc. All rights reserved

BLP setup for screw retained restoration

Page 5: Two on one

5 Copyright © 2012 Idondivi, Inc. All rights reserved

Buccal wing, setup for premolar implant, while not involving sinus

Page 6: Two on one

6 Copyright © 2012 Idondivi, Inc. All rights reserved

Guide in place

Page 7: Two on one

7 Copyright © 2012 Idondivi, Inc. All rights reserved

X-ray is diagnostic as both BLP’s overlap, no need for rotational correction, so

use green, 0-degree rotation block

Page 8: Two on one

8 Copyright © 2012 Idondivi, Inc. All rights reserved

Flapped since buccal will need augmentation to increase volume

Page 9: Two on one

9 Copyright © 2012 Idondivi, Inc. All rights reserved

Crest

Page 10: Two on one

10 Copyright © 2012 Idondivi, Inc. All rights reserved

Initial osteotomy with drill length set with red flexistop at 10 mm ( 23-10-3)

Page 11: Two on one

11 Copyright © 2012 Idondivi, Inc. All rights reserved

Initial osteotomy

Page 12: Two on one

12 Copyright © 2012 Idondivi, Inc. All rights reserved

2.8 at 10 mm

Page 13: Two on one

13 Copyright © 2012 Idondivi, Inc. All rights reserved

3.4 at 7 mm for stepped back preparation for tapered implant

Page 14: Two on one

14 Copyright © 2012 Idondivi, Inc. All rights reserved

Note high tech holder for universal drill guide from Idondivi, Inc.

Page 15: Two on one

15 Copyright © 2012 Idondivi, Inc. All rights reserved

Guided tap

Page 16: Two on one

16 Copyright © 2012 Idondivi, Inc. All rights reserved

Final osteotomy

Page 17: Two on one

17 Copyright © 2012 Idondivi, Inc. All rights reserved

4.3 x 10 mm, Nobel Active

Page 18: Two on one

18 Copyright © 2012 Idondivi, Inc. All rights reserved

50 N / cm insertion torque

Page 19: Two on one

19 Copyright © 2012 Idondivi, Inc. All rights reserved

Guided, bonemill

Page 20: Two on one

20 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant in predetermined position

Page 21: Two on one

21 Copyright © 2012 Idondivi, Inc. All rights reserved

Resorbable collagen membrane secured with healingcap

Page 22: Two on one

22 Copyright © 2012 Idondivi, Inc. All rights reserved

Bio-Oss, non resorbable grafting material to increase buccal volume

Page 23: Two on one

23 Copyright © 2012 Idondivi, Inc. All rights reserved

Covered with resorbable collagen membrane

Page 24: Two on one

24 Copyright © 2012 Idondivi, Inc. All rights reserved

# 12 implant with healing cap, ( note that # 7 implant will heal submerged)

Page 25: Two on one

25 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant 4.3 x 10 mm Nobel Active placed as planned